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Mercy Radiology’s musculoskeletal service provides diagnostic and interventional services including X-ray, ultrasound, CT, MRI, fluoroscopy, SPECT-CT and sodium fluoride PET-CT.
Complementing our imaging service, we also perform a full range of minimally invasive, therapeutic injections into many body regions, to treat a range of joint and soft tissue disorders.
1. X-ray (Plain film)
2. Musculoskeletal Ultrasound
3. Ultasound-Guided Procedures –
4. Platelet-Rich Plasma (PRP) Injections
5. Computed Tomography (CT) –
6. SPECT-CT Bone Scans
7. Magnetic Resonance Imaging (MRI)
8. NaF (Sodium Fluoride) PET-CT
Cortisone is the short term used to describe a group of drugs called corticosteroids. Cortisone is commonly used in the treatment of musculoskeletal disorders, to suppress inflammation and/or reduce swelling. They are not the type of steroid used to build up muscles.
Cortisone and radiology
Cortisone injections are performed to help treat musculoskeletal problems. The cortisone can reduce or eliminate pain associated with a variety of disorders (e.g tendonitis and bursitis) and could also help confirm or exclude a certain diagnosis based on the body’s response to the cortisone.
The cortisone is injected into the soft tissues or joint where the pain is occurring. In order to ensure the cortisone is administered into the correct area, imaging is used at the same time to guide the radiologist. There are several different methods that can be used depending on the area being examined. In most cases, ultrasound is used, but both fluoroscopic (real time x-ray) and CT are also used for administering cortisone and local anaesthetic.
You need a referral from your doctor to be able to book an appointment for this scan.
You will be informed when you book of any possible preparation you need to complete before your procedure.
If you are having an injection into the spine, hip or knee joint, you will need to arrange a driver to transport you home.
Prior to administering the cortisone, the procedure will be discussed with you, including any risks that may be associated or questions you may have, and your consent will be required.
The skin is cleaned with antiseptic and prepped in a sterile manner, before the radiologist guides the needle into place. The degree of discomfort experienced is generally mild as the needle is small and local anaesthetic is utilised, but some pain may be experienced.
After the examination, you can resume light activity. We do not recommend applying strain to the tendons treated, therefore the operation of heavy equipment is not recommended within the day and participation in sports should not take place for at least one week.
For injections into the spine, hip or knee, a driver is required to transport you home.
There are risks with any drug treatment, but complications are rare with cortisone injections.
Other risks including allergy or infection are uncommon.
The immediate effect is usually from the local anesthetic injected. This wears off in a few hours. The cortisone starts working in about 3 to 5 days and its effect can last for several days to a few months.
1) Protect the injection area for a day or two
2) Apply ice to the injection site as needed to relieve pain
3) Watch for signs of infections, including increasing pain, redness and swelling that last more than 48 hours
4) Do not use a bathtub, hot tub or whirlpool for two days
For injections into the spine, hip or knee, you should have someone to drive you back home. Local anaesthetic and steroid injections are usually very well-tolerated and you can go back to work the next day.
Patients typically experience significant reduction in pain after the first or second injection. Generally speaking, PRP injections are not painful; however, the discomfort level depends on the part of the body being treated. Injections into the joint are of minimal discomfort.
Up to three PRP injections may be given within a six-month time frame, usually performed two to three weeks apart. You may, however, gain considerable to complete relief after the first or second injection.
ACC: No Charge – Specialist Referred only
Prices are estimates only and are subject to change at any time. For further information, please email the request form to us for evaluation.